Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.64 / $342.57 / $342.57	Facility		$242.64	$342.57	$342.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $134.10 / $242.64	Professional		$127.94	$134.10	$242.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.63 / $169.56 / $320.27	Facility		$92.63	$169.56	$320.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.53 / $150.52 / $225.78	Facility		$97.53	$150.52	$225.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $97.84 / $150.52	Professional		$97.84	$97.84	$150.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $186.52 / $233.46	Professional		$121.91	$186.52	$233.46
United Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $146.29 / $146.29	Facility		$146.29	$146.29	$146.29
United Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $75.26 / $150.52	Professional		$60.96	$75.26	$150.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $212.12 / $579.07 / $579.07	Facility		$212.12	$579.07	$579.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $609.54 / $609.54 / $914.33	Professional		$609.54	$609.54	$914.33